|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Professional
|
Both
|
$1,269.00
|
|
|
Service Code
|
HCPCS 27048
|
| Min. Negotiated Rate |
$507.60 |
| Max. Negotiated Rate |
$856.96 |
| Rate for Payer: Aetna Commercial |
$797.45
|
| Rate for Payer: Aetna Medicare |
$618.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$856.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$797.45
|
| Rate for Payer: BCBS Complete |
$507.60
|
| Rate for Payer: BCBS MAPPO |
$595.11
|
| Rate for Payer: BCN Medicare Advantage |
$595.11
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cofinity Commercial |
$856.96
|
| Rate for Payer: Cofinity Commercial |
$797.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$595.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$624.87
|
| Rate for Payer: Nomi Health Commercial |
$714.13
|
| Rate for Payer: PACE SWMI |
$595.11
|
| Rate for Payer: PHP Commercial |
$833.15
|
| Rate for Payer: PHP Medicare Advantage |
$595.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$824.85
|
| Rate for Payer: Priority Health Medicare |
$595.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$595.11
|
| Rate for Payer: UHC Medicare Advantage |
$595.11
|
| Rate for Payer: UMR Bronson Commercial |
$583.74
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>
|
Professional
|
Both
|
$1,399.00
|
|
|
Service Code
|
HCPCS 27045
|
| Min. Negotiated Rate |
$559.60 |
| Max. Negotiated Rate |
$1,023.57 |
| Rate for Payer: Aetna Commercial |
$952.49
|
| Rate for Payer: Aetna Medicare |
$739.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$952.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,023.57
|
| Rate for Payer: BCBS Complete |
$559.60
|
| Rate for Payer: BCBS MAPPO |
$710.81
|
| Rate for Payer: BCN Medicare Advantage |
$710.81
|
| Rate for Payer: Cash Price |
$1,119.20
|
| Rate for Payer: Cash Price |
$1,119.20
|
| Rate for Payer: Cofinity Commercial |
$952.49
|
| Rate for Payer: Cofinity Commercial |
$1,023.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$710.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$746.35
|
| Rate for Payer: Nomi Health Commercial |
$852.97
|
| Rate for Payer: PACE SWMI |
$710.81
|
| Rate for Payer: PHP Commercial |
$995.13
|
| Rate for Payer: PHP Medicare Advantage |
$710.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$909.35
|
| Rate for Payer: Priority Health Medicare |
$710.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$710.81
|
| Rate for Payer: UHC Medicare Advantage |
$710.81
|
| Rate for Payer: UMR Bronson Commercial |
$643.54
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM
|
Professional
|
Both
|
$804.00
|
|
|
Service Code
|
HCPCS 27047
|
| Min. Negotiated Rate |
$321.60 |
| Max. Negotiated Rate |
$522.60 |
| Rate for Payer: Aetna Commercial |
$468.28
|
| Rate for Payer: Aetna Medicare |
$363.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$503.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$468.28
|
| Rate for Payer: BCBS Complete |
$321.60
|
| Rate for Payer: BCBS MAPPO |
$349.46
|
| Rate for Payer: BCN Medicare Advantage |
$349.46
|
| Rate for Payer: Cash Price |
$643.20
|
| Rate for Payer: Cash Price |
$643.20
|
| Rate for Payer: Cofinity Commercial |
$503.22
|
| Rate for Payer: Cofinity Commercial |
$468.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$366.93
|
| Rate for Payer: Nomi Health Commercial |
$419.35
|
| Rate for Payer: PACE SWMI |
$349.46
|
| Rate for Payer: PHP Commercial |
$489.24
|
| Rate for Payer: PHP Medicare Advantage |
$349.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$522.60
|
| Rate for Payer: Priority Health Medicare |
$349.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.46
|
| Rate for Payer: UHC Medicare Advantage |
$349.46
|
| Rate for Payer: UMR Bronson Commercial |
$369.84
|
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Professional
|
Both
|
$1,587.00
|
|
|
Service Code
|
HCPCS 23073
|
| Min. Negotiated Rate |
$634.80 |
| Max. Negotiated Rate |
$1,031.55 |
| Rate for Payer: Aetna Commercial |
$904.39
|
| Rate for Payer: Aetna Medicare |
$701.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$971.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$904.39
|
| Rate for Payer: BCBS Complete |
$634.80
|
| Rate for Payer: BCBS MAPPO |
$674.92
|
| Rate for Payer: BCN Medicare Advantage |
$674.92
|
| Rate for Payer: Cash Price |
$1,269.60
|
| Rate for Payer: Cash Price |
$1,269.60
|
| Rate for Payer: Cofinity Commercial |
$971.88
|
| Rate for Payer: Cofinity Commercial |
$904.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$674.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$708.67
|
| Rate for Payer: Nomi Health Commercial |
$809.90
|
| Rate for Payer: PACE SWMI |
$674.92
|
| Rate for Payer: PHP Commercial |
$944.89
|
| Rate for Payer: PHP Medicare Advantage |
$674.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.55
|
| Rate for Payer: Priority Health Medicare |
$674.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$674.92
|
| Rate for Payer: UHC Medicare Advantage |
$674.92
|
| Rate for Payer: UMR Bronson Commercial |
$730.02
|
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Facility
|
IP
|
$1,587.00
|
|
|
Service Code
|
CPT 23073
|
| Hospital Charge Code |
23073
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$698.28 |
| Max. Negotiated Rate |
$1,428.30 |
| Rate for Payer: Aetna American Axle |
$1,031.55
|
| Rate for Payer: Aetna Commercial |
$1,348.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,031.55
|
| Rate for Payer: Cash Price |
$1,269.60
|
| Rate for Payer: Cofinity Commercial |
$1,110.90
|
| Rate for Payer: Cofinity Commercial |
$1,364.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,110.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,269.60
|
| Rate for Payer: Healthscope Commercial |
$1,428.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,110.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,190.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,348.95
|
| Rate for Payer: PHP Commercial |
$1,348.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.55
|
| Rate for Payer: Priority Health SBD |
$999.81
|
| Rate for Payer: UMR Bronson Commercial |
$698.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,190.25
|
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Facility
|
OP
|
$1,587.00
|
|
|
Service Code
|
CPT 23073
|
| Hospital Charge Code |
23073
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$587.19 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$1,031.55
|
| Rate for Payer: Aetna Commercial |
$1,348.95
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,031.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$1,269.60
|
| Rate for Payer: Cash Price |
$1,269.60
|
| Rate for Payer: Cofinity Commercial |
$1,364.82
|
| Rate for Payer: Cofinity Commercial |
$1,110.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,110.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,269.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$1,428.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,110.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,190.25
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,348.95
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$1,348.95
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.55
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$999.81
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,857.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$5,334.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: UMR Bronson Commercial |
$587.19
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,190.25
|
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Professional
|
Both
|
$1,587.00
|
|
|
Service Code
|
HCPCS 23073
|
| Hospital Charge Code |
23073
|
| Min. Negotiated Rate |
$634.80 |
| Max. Negotiated Rate |
$1,031.55 |
| Rate for Payer: Aetna Commercial |
$904.39
|
| Rate for Payer: Aetna Medicare |
$701.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$971.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$904.39
|
| Rate for Payer: BCBS Complete |
$634.80
|
| Rate for Payer: BCBS MAPPO |
$674.92
|
| Rate for Payer: BCN Medicare Advantage |
$674.92
|
| Rate for Payer: Cash Price |
$1,269.60
|
| Rate for Payer: Cash Price |
$1,269.60
|
| Rate for Payer: Cofinity Commercial |
$971.88
|
| Rate for Payer: Cofinity Commercial |
$904.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$674.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$708.67
|
| Rate for Payer: Nomi Health Commercial |
$809.90
|
| Rate for Payer: PACE SWMI |
$674.92
|
| Rate for Payer: PHP Commercial |
$944.89
|
| Rate for Payer: PHP Medicare Advantage |
$674.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.55
|
| Rate for Payer: Priority Health Medicare |
$674.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$674.92
|
| Rate for Payer: UHC Medicare Advantage |
$674.92
|
| Rate for Payer: UMR Bronson Commercial |
$730.02
|
|
|
PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>
|
Professional
|
Both
|
$3,276.00
|
|
|
Service Code
|
HCPCS 27339
|
| Min. Negotiated Rate |
$731.40 |
| Max. Negotiated Rate |
$2,129.40 |
| Rate for Payer: Aetna Commercial |
$980.08
|
| Rate for Payer: Aetna Medicare |
$760.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$980.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,053.22
|
| Rate for Payer: BCBS Complete |
$1,310.40
|
| Rate for Payer: BCBS MAPPO |
$731.40
|
| Rate for Payer: BCN Medicare Advantage |
$731.40
|
| Rate for Payer: Cash Price |
$2,620.80
|
| Rate for Payer: Cash Price |
$2,620.80
|
| Rate for Payer: Cofinity Commercial |
$980.08
|
| Rate for Payer: Cofinity Commercial |
$1,053.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$767.97
|
| Rate for Payer: Nomi Health Commercial |
$877.68
|
| Rate for Payer: PACE SWMI |
$731.40
|
| Rate for Payer: PHP Commercial |
$1,023.96
|
| Rate for Payer: PHP Medicare Advantage |
$731.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,129.40
|
| Rate for Payer: Priority Health Medicare |
$731.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.40
|
| Rate for Payer: UHC Medicare Advantage |
$731.40
|
| Rate for Payer: UMR Bronson Commercial |
$1,506.96
|
|
|
PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM
|
Professional
|
Both
|
$1,748.00
|
|
|
Service Code
|
HCPCS 27328
|
| Min. Negotiated Rate |
$603.53 |
| Max. Negotiated Rate |
$1,136.20 |
| Rate for Payer: Aetna Commercial |
$808.73
|
| Rate for Payer: Aetna Medicare |
$627.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$869.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$808.73
|
| Rate for Payer: BCBS Complete |
$699.20
|
| Rate for Payer: BCBS MAPPO |
$603.53
|
| Rate for Payer: BCN Medicare Advantage |
$603.53
|
| Rate for Payer: Cash Price |
$1,398.40
|
| Rate for Payer: Cash Price |
$1,398.40
|
| Rate for Payer: Cofinity Commercial |
$869.08
|
| Rate for Payer: Cofinity Commercial |
$808.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$603.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$633.71
|
| Rate for Payer: Nomi Health Commercial |
$724.24
|
| Rate for Payer: PACE SWMI |
$603.53
|
| Rate for Payer: PHP Commercial |
$844.94
|
| Rate for Payer: PHP Medicare Advantage |
$603.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,136.20
|
| Rate for Payer: Priority Health Medicare |
$603.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$603.53
|
| Rate for Payer: UHC Medicare Advantage |
$603.53
|
| Rate for Payer: UMR Bronson Commercial |
$804.08
|
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Professional
|
Both
|
$1,557.00
|
|
|
Service Code
|
HCPCS 24071
|
| Min. Negotiated Rate |
$393.62 |
| Max. Negotiated Rate |
$1,012.05 |
| Rate for Payer: Aetna Commercial |
$527.45
|
| Rate for Payer: Aetna Medicare |
$409.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$566.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$527.45
|
| Rate for Payer: BCBS Complete |
$622.80
|
| Rate for Payer: BCBS MAPPO |
$393.62
|
| Rate for Payer: BCN Medicare Advantage |
$393.62
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cofinity Commercial |
$566.81
|
| Rate for Payer: Cofinity Commercial |
$527.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$413.30
|
| Rate for Payer: Nomi Health Commercial |
$472.34
|
| Rate for Payer: PACE SWMI |
$393.62
|
| Rate for Payer: PHP Commercial |
$551.07
|
| Rate for Payer: PHP Medicare Advantage |
$393.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,012.05
|
| Rate for Payer: Priority Health Medicare |
$393.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.62
|
| Rate for Payer: UHC Medicare Advantage |
$393.62
|
| Rate for Payer: UMR Bronson Commercial |
$716.22
|
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Professional
|
Both
|
$1,557.00
|
|
|
Service Code
|
HCPCS 24071
|
| Hospital Charge Code |
24071
|
| Min. Negotiated Rate |
$393.62 |
| Max. Negotiated Rate |
$1,012.05 |
| Rate for Payer: Aetna Commercial |
$527.45
|
| Rate for Payer: Aetna Medicare |
$409.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$566.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$527.45
|
| Rate for Payer: BCBS Complete |
$622.80
|
| Rate for Payer: BCBS MAPPO |
$393.62
|
| Rate for Payer: BCN Medicare Advantage |
$393.62
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cofinity Commercial |
$527.45
|
| Rate for Payer: Cofinity Commercial |
$566.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$413.30
|
| Rate for Payer: Nomi Health Commercial |
$472.34
|
| Rate for Payer: PACE SWMI |
$393.62
|
| Rate for Payer: PHP Commercial |
$551.07
|
| Rate for Payer: PHP Medicare Advantage |
$393.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,012.05
|
| Rate for Payer: Priority Health Medicare |
$393.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.62
|
| Rate for Payer: UHC Medicare Advantage |
$393.62
|
| Rate for Payer: UMR Bronson Commercial |
$716.22
|
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
OP
|
$1,557.00
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
24071
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$576.09 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$1,012.05
|
| Rate for Payer: Aetna Commercial |
$1,323.45
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,012.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cofinity Commercial |
$1,089.90
|
| Rate for Payer: Cofinity Commercial |
$1,339.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,089.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,245.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$1,401.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,089.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,167.75
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,323.45
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$1,323.45
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,012.05
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$980.91
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,857.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$5,334.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: UMR Bronson Commercial |
$576.09
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,167.75
|
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
IP
|
$1,557.00
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
24071
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$685.08 |
| Max. Negotiated Rate |
$1,401.30 |
| Rate for Payer: Aetna American Axle |
$1,012.05
|
| Rate for Payer: Aetna Commercial |
$1,323.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,012.05
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cofinity Commercial |
$1,089.90
|
| Rate for Payer: Cofinity Commercial |
$1,339.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,089.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,245.60
|
| Rate for Payer: Healthscope Commercial |
$1,401.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,089.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,167.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,323.45
|
| Rate for Payer: PHP Commercial |
$1,323.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,012.05
|
| Rate for Payer: Priority Health SBD |
$980.91
|
| Rate for Payer: UMR Bronson Commercial |
$685.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,167.75
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Professional
|
Both
|
$1,297.00
|
|
|
Service Code
|
HCPCS 24075
|
| Min. Negotiated Rate |
$318.76 |
| Max. Negotiated Rate |
$843.05 |
| Rate for Payer: Aetna Commercial |
$427.14
|
| Rate for Payer: Aetna Medicare |
$331.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$459.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$427.14
|
| Rate for Payer: BCBS Complete |
$518.80
|
| Rate for Payer: BCBS MAPPO |
$318.76
|
| Rate for Payer: BCN Medicare Advantage |
$318.76
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$459.01
|
| Rate for Payer: Cofinity Commercial |
$427.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$318.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$334.70
|
| Rate for Payer: Nomi Health Commercial |
$382.51
|
| Rate for Payer: PACE SWMI |
$318.76
|
| Rate for Payer: PHP Commercial |
$446.26
|
| Rate for Payer: PHP Medicare Advantage |
$318.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.05
|
| Rate for Payer: Priority Health Medicare |
$318.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$318.76
|
| Rate for Payer: UHC Medicare Advantage |
$318.76
|
| Rate for Payer: UMR Bronson Commercial |
$596.62
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
IP
|
$1,297.00
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
24075
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$570.68 |
| Max. Negotiated Rate |
$1,167.30 |
| Rate for Payer: Aetna American Axle |
$843.05
|
| Rate for Payer: Aetna Commercial |
$1,102.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$843.05
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$1,115.42
|
| Rate for Payer: Cofinity Commercial |
$907.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$907.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,037.60
|
| Rate for Payer: Healthscope Commercial |
$1,167.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$907.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$972.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,102.45
|
| Rate for Payer: PHP Commercial |
$1,102.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.05
|
| Rate for Payer: Priority Health SBD |
$817.11
|
| Rate for Payer: UMR Bronson Commercial |
$570.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$972.75
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Professional
|
Both
|
$1,297.00
|
|
|
Service Code
|
HCPCS 24075
|
| Hospital Charge Code |
24075
|
| Min. Negotiated Rate |
$318.76 |
| Max. Negotiated Rate |
$843.05 |
| Rate for Payer: Aetna Commercial |
$427.14
|
| Rate for Payer: Aetna Medicare |
$331.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$459.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$427.14
|
| Rate for Payer: BCBS Complete |
$518.80
|
| Rate for Payer: BCBS MAPPO |
$318.76
|
| Rate for Payer: BCN Medicare Advantage |
$318.76
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$427.14
|
| Rate for Payer: Cofinity Commercial |
$459.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$318.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$334.70
|
| Rate for Payer: Nomi Health Commercial |
$382.51
|
| Rate for Payer: PACE SWMI |
$318.76
|
| Rate for Payer: PHP Commercial |
$446.26
|
| Rate for Payer: PHP Medicare Advantage |
$318.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.05
|
| Rate for Payer: Priority Health Medicare |
$318.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$318.76
|
| Rate for Payer: UHC Medicare Advantage |
$318.76
|
| Rate for Payer: UMR Bronson Commercial |
$596.62
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
OP
|
$1,297.00
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
24075
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$479.89 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$843.05
|
| Rate for Payer: Aetna Commercial |
$1,102.45
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$843.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$1,115.42
|
| Rate for Payer: Cofinity Commercial |
$907.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$907.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,037.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,167.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$907.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$972.75
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,102.45
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,102.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.05
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$817.11
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$479.89
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$972.75
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Professional
|
Both
|
$1,693.00
|
|
|
Service Code
|
HCPCS 24073
|
| Hospital Charge Code |
24073
|
| Min. Negotiated Rate |
$672.27 |
| Max. Negotiated Rate |
$1,100.45 |
| Rate for Payer: Aetna Commercial |
$900.84
|
| Rate for Payer: Aetna Medicare |
$699.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$968.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$900.84
|
| Rate for Payer: BCBS Complete |
$677.20
|
| Rate for Payer: BCBS MAPPO |
$672.27
|
| Rate for Payer: BCN Medicare Advantage |
$672.27
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cofinity Commercial |
$900.84
|
| Rate for Payer: Cofinity Commercial |
$968.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$672.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$705.88
|
| Rate for Payer: Nomi Health Commercial |
$806.72
|
| Rate for Payer: PACE SWMI |
$672.27
|
| Rate for Payer: PHP Commercial |
$941.18
|
| Rate for Payer: PHP Medicare Advantage |
$672.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.45
|
| Rate for Payer: Priority Health Medicare |
$672.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$672.27
|
| Rate for Payer: UHC Medicare Advantage |
$672.27
|
| Rate for Payer: UMR Bronson Commercial |
$778.78
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Facility
|
OP
|
$1,693.00
|
|
|
Service Code
|
CPT 24073
|
| Hospital Charge Code |
24073
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$626.41 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$1,100.45
|
| Rate for Payer: Aetna Commercial |
$1,439.05
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,100.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cofinity Commercial |
$1,185.10
|
| Rate for Payer: Cofinity Commercial |
$1,455.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,185.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,354.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$1,523.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,185.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,269.75
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,439.05
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$1,439.05
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.45
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$1,066.59
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,857.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$5,334.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: UMR Bronson Commercial |
$626.41
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,269.75
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Facility
|
IP
|
$1,693.00
|
|
|
Service Code
|
CPT 24073
|
| Hospital Charge Code |
24073
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$744.92 |
| Max. Negotiated Rate |
$1,523.70 |
| Rate for Payer: Aetna American Axle |
$1,100.45
|
| Rate for Payer: Aetna Commercial |
$1,439.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,100.45
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cofinity Commercial |
$1,185.10
|
| Rate for Payer: Cofinity Commercial |
$1,455.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,185.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,354.40
|
| Rate for Payer: Healthscope Commercial |
$1,523.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,185.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,269.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,439.05
|
| Rate for Payer: PHP Commercial |
$1,439.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.45
|
| Rate for Payer: Priority Health SBD |
$1,066.59
|
| Rate for Payer: UMR Bronson Commercial |
$744.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,269.75
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Professional
|
Both
|
$1,693.00
|
|
|
Service Code
|
HCPCS 24073
|
| Min. Negotiated Rate |
$672.27 |
| Max. Negotiated Rate |
$1,100.45 |
| Rate for Payer: Aetna Commercial |
$900.84
|
| Rate for Payer: Aetna Medicare |
$699.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$968.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$900.84
|
| Rate for Payer: BCBS Complete |
$677.20
|
| Rate for Payer: BCBS MAPPO |
$672.27
|
| Rate for Payer: BCN Medicare Advantage |
$672.27
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cofinity Commercial |
$968.07
|
| Rate for Payer: Cofinity Commercial |
$900.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$672.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$705.88
|
| Rate for Payer: Nomi Health Commercial |
$806.72
|
| Rate for Payer: PACE SWMI |
$672.27
|
| Rate for Payer: PHP Commercial |
$941.18
|
| Rate for Payer: PHP Medicare Advantage |
$672.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.45
|
| Rate for Payer: Priority Health Medicare |
$672.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$672.27
|
| Rate for Payer: UHC Medicare Advantage |
$672.27
|
| Rate for Payer: UMR Bronson Commercial |
$778.78
|
|
|
PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Facility
|
IP
|
$1,155.00
|
|
|
Service Code
|
CPT 24076
|
| Hospital Charge Code |
24076
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$508.20 |
| Max. Negotiated Rate |
$1,039.50 |
| Rate for Payer: Aetna American Axle |
$750.75
|
| Rate for Payer: Aetna Commercial |
$981.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$750.75
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$808.50
|
| Rate for Payer: Cofinity Commercial |
$993.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$808.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$924.00
|
| Rate for Payer: Healthscope Commercial |
$1,039.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$808.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$866.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$981.75
|
| Rate for Payer: PHP Commercial |
$981.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health SBD |
$727.65
|
| Rate for Payer: UMR Bronson Commercial |
$508.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$866.25
|
|
|
PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Facility
|
OP
|
$1,155.00
|
|
|
Service Code
|
CPT 24076
|
| Hospital Charge Code |
24076
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$427.35 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$750.75
|
| Rate for Payer: Aetna Commercial |
$981.75
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$750.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$808.50
|
| Rate for Payer: Cofinity Commercial |
$993.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$808.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$924.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$1,039.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$808.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$866.25
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$981.75
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$981.75
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$727.65
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,857.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$5,334.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: UMR Bronson Commercial |
$427.35
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$866.25
|
|
|
PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 24076
|
| Min. Negotiated Rate |
$462.00 |
| Max. Negotiated Rate |
$762.39 |
| Rate for Payer: Aetna Commercial |
$709.45
|
| Rate for Payer: Aetna Medicare |
$550.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$762.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$709.45
|
| Rate for Payer: BCBS Complete |
$462.00
|
| Rate for Payer: BCBS MAPPO |
$529.44
|
| Rate for Payer: BCN Medicare Advantage |
$529.44
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$762.39
|
| Rate for Payer: Cofinity Commercial |
$709.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$529.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$555.91
|
| Rate for Payer: Nomi Health Commercial |
$635.33
|
| Rate for Payer: PACE SWMI |
$529.44
|
| Rate for Payer: PHP Commercial |
$741.22
|
| Rate for Payer: PHP Medicare Advantage |
$529.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health Medicare |
$529.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$529.44
|
| Rate for Payer: UHC Medicare Advantage |
$529.44
|
| Rate for Payer: UMR Bronson Commercial |
$531.30
|
|
|
PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 24076
|
| Hospital Charge Code |
24076
|
| Min. Negotiated Rate |
$462.00 |
| Max. Negotiated Rate |
$762.39 |
| Rate for Payer: Aetna Commercial |
$709.45
|
| Rate for Payer: Aetna Medicare |
$550.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$762.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$709.45
|
| Rate for Payer: BCBS Complete |
$462.00
|
| Rate for Payer: BCBS MAPPO |
$529.44
|
| Rate for Payer: BCN Medicare Advantage |
$529.44
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$709.45
|
| Rate for Payer: Cofinity Commercial |
$762.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$529.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$555.91
|
| Rate for Payer: Nomi Health Commercial |
$635.33
|
| Rate for Payer: PACE SWMI |
$529.44
|
| Rate for Payer: PHP Commercial |
$741.22
|
| Rate for Payer: PHP Medicare Advantage |
$529.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health Medicare |
$529.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$529.44
|
| Rate for Payer: UHC Medicare Advantage |
$529.44
|
| Rate for Payer: UMR Bronson Commercial |
$531.30
|
|
